| NPI | 1639523442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY NELSON Sole Proprietor/Owner/Slp 859-351-7933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 0670) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-04-18 |